Treatment of Chronic Wounds in Diabetic Foot Syndrome With Allogeneic Adipose Derived Mesenchymal Stem Cells

NCT ID: NCT03865394

Last Updated: 2021-10-14

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

46 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-07-01

Study Completion Date

2021-09-30

Brief Summary

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The aim of this study is to investigate efficiency of applying of adipose-derived mesenchymal stem cells (ADSC) in treatment of chronic wounds in diabetic foot syndrome.

Detailed Description

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The product will contain an active ingredient- human allogeneic adipose-derived mesenchymal stem cells (ADSC) cells suspended in the fibrin solution applied directly onto prepared wound bed, to form thin gel layer on the wound surface.

Conditions

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Diabetic Foot Ulcer

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Allogeneic ADSC cells in fibrin solution

Application of allogeneic ADSC stem cells in fibrin gel, to cover wound surface with thin cells layer.

Therapy is based on standard procedure of diabetic foot ulcer treatment combined with application of allogeneic ADSC stem cells in fibrin solution onto the wound surface.

Group Type EXPERIMENTAL

Application of allogeneic ADSC stem cells in fibrin gel

Intervention Type BIOLOGICAL

Chronic wounds in diabetic foot ulcer will be covered with ADSC suspended in fibrin gel - single dose will be administered followed by weekly wound control.

Standard care in diabetic foot ulcer with aplication of fibrin gel to cover wound surface.

Application of fibrin gel to cover wound surface.

Group Type ACTIVE_COMPARATOR

Standard care in diabetic foot ulcer

Intervention Type PROCEDURE

Chronic wounds in diabetic foot ulcer will be covered with fibrin gel followed by weekly wound control.

Interventions

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Application of allogeneic ADSC stem cells in fibrin gel

Chronic wounds in diabetic foot ulcer will be covered with ADSC suspended in fibrin gel - single dose will be administered followed by weekly wound control.

Intervention Type BIOLOGICAL

Standard care in diabetic foot ulcer

Chronic wounds in diabetic foot ulcer will be covered with fibrin gel followed by weekly wound control.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

1. Signing informed consent form.
2. Above the age of 18
3. Voluntary participation in the research, following the requirements of the protocol and acceptance for procedures related with its implementation
4. Chronic wound in the course of diabetic foot syndrome, with the wound surface between 1 - 25 sq. cm, without evidence of active infection of the wound at the time of qualification to participate in the study
5. Blood level of glycated haemoglobin (HbA1c) \<=11%
6. Satisfactory blood supply to the wound verified by the measurement of the oxygen level in the foot tissue (\>=30 mmHg), or by the measurement of systolic blood pressure in posterior or anterior tibial artery (\>=50 mmHg) of the affected limb.
7. General health condition, which according to the investigator's opinion, allows patient's participation in all study procedures.

Exclusion Criteria

1. Lack of patient's cooperation
2. Wound etiology other than diabetic foot syndrome
3. Clinicaly significant limb ischemia as verified by the measurement of the oxygen level in the foot tissue (\<30 mmHg), or by the measurement of systolic blood pressure in posterior or anterior tibial artery (\<50 mmHg)
4. Active wound infection, which would require the treatment with antibiotics
5. Known allergy to ingredients of study product (thrombin, penicillin).
6. Active venous thromboembolism
7. Any systemic disease (acute or chronic) in the stage of exacerbation or not stabilized, that in the opinion of the investigator may hinder or make impossible a patient's participation in the study
8. Active cancer during chemotherapy or radiotherapy, or recent cancer, if the remission occured less than 5 years before joining the study
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Polish Stem Cells Bank S.A.

UNKNOWN

Sponsor Role collaborator

Medical University of Warsaw

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Beata Mrozikiewicz-Rakowska, . Assoc.Prof.

Role: PRINCIPAL_INVESTIGATOR

Medical University of Warsaw, Department of Diabetology and Internal Diseases

Locations

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Medical University of Warsaw, Department of Diabetology and Internal Diseases

Warsaw, , Poland

Site Status

Countries

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Poland

Other Identifiers

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267976/13/NCBR/2015

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

2016-004109-15

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

PL008125

Identifier Type: OTHER

Identifier Source: secondary_id

Z4217

Identifier Type: OTHER

Identifier Source: secondary_id

1ABC Therapy

Identifier Type: -

Identifier Source: org_study_id